Co-producing knowledge of lesbian, gay, bisexual, trans and intersex (LGBTI) healthcare inequalities via rapid-reviews of grey literature in 27 EU Member States

Nigel Sherriff, Laetitia Zeeman, Nick McGlynn, Nuno Pinto, Katrin Hugendubel, Massimo Mirandola, Lorenzo Gios, Ruth Davies, Valeria Donisi, Francesco Farinella, Francesco Amaddeo, Caroline Costongs, Kath Browne

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Background The health inequalities experienced by lesbian, gay, bisexual, trans and intersex (LGBTI) people are well documented with several reviews of global research summarising key inequalities. These reviews also show how the healthcare needs of LGBTI people are often poorly understood whilst suggesting that targeted initiatives to reduce inequalities should involve LGBTI people.

Objectives To determine what is known about the healthcare inequalities faced by LGBTI people? What are the barriers faced by LGBTI people whilst accessing healthcare, and health professionals when providing care? What examples of promising practice exist?

Design Rapid-reviews of grey literature were co-produced with LGBTI people in 27 countries followed by a thematic analysis and synthesis across all datasets. The review included grey literature from each country that might not otherwise be accessible due to language barriers.

Main results Rapid-reviews showed that LGBTI people faced various inequalities and barriers whilst accessing healthcare. Where heterosexuality, binary gender and assumed male/female sex characteristics were upheld as the norm, and where LGBTI people differed from these norms, discrimination could result. In consultations where LGBTI people feared discrimination and did not disclose their LGBTI status, health professionals lacked the information required for appropriate assessments.

Conclusion With greater understanding of sexual orientation (LGB people), gender identity (trans people) and sex characteristics (intersex people), combined with access to contemporary knowledge and training, health professionals can work in collaboration with researchers, policy makers and LGBTI people to develop systems that are better attuned to the needs of all service users.
Original languageEnglish
JournalHealth Expectations
DOIs
Publication statusPublished - 22 Jun 2019

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Healthcare Disparities
Sexual Minorities

Bibliographical note

This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. © 2019 The Authors. Health Expectations published by John Wiley & Sons Ltd.

Keywords

  • LGBTI
  • public health
  • healthcare
  • inequalities
  • co-production
  • rapid-review
  • Europe
  • intersex

Cite this

Sherriff, Nigel ; Zeeman, Laetitia ; McGlynn, Nick ; Pinto, Nuno ; Hugendubel, Katrin ; Mirandola, Massimo ; Gios, Lorenzo ; Davies, Ruth ; Donisi, Valeria ; Farinella, Francesco ; Amaddeo, Francesco ; Costongs, Caroline ; Browne, Kath. / Co-producing knowledge of lesbian, gay, bisexual, trans and intersex (LGBTI) healthcare inequalities via rapid-reviews of grey literature in 27 EU Member States. In: Health Expectations. 2019.
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title = "Co-producing knowledge of lesbian, gay, bisexual, trans and intersex (LGBTI) healthcare inequalities via rapid-reviews of grey literature in 27 EU Member States",
abstract = "Background The health inequalities experienced by lesbian, gay, bisexual, trans and intersex (LGBTI) people are well documented with several reviews of global research summarising key inequalities. These reviews also show how the healthcare needs of LGBTI people are often poorly understood whilst suggesting that targeted initiatives to reduce inequalities should involve LGBTI people. Objectives To determine what is known about the healthcare inequalities faced by LGBTI people? What are the barriers faced by LGBTI people whilst accessing healthcare, and health professionals when providing care? What examples of promising practice exist? Design Rapid-reviews of grey literature were co-produced with LGBTI people in 27 countries followed by a thematic analysis and synthesis across all datasets. The review included grey literature from each country that might not otherwise be accessible due to language barriers. Main results Rapid-reviews showed that LGBTI people faced various inequalities and barriers whilst accessing healthcare. Where heterosexuality, binary gender and assumed male/female sex characteristics were upheld as the norm, and where LGBTI people differed from these norms, discrimination could result. In consultations where LGBTI people feared discrimination and did not disclose their LGBTI status, health professionals lacked the information required for appropriate assessments. Conclusion With greater understanding of sexual orientation (LGB people), gender identity (trans people) and sex characteristics (intersex people), combined with access to contemporary knowledge and training, health professionals can work in collaboration with researchers, policy makers and LGBTI people to develop systems that are better attuned to the needs of all service users.",
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note = "This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. {\circledC} 2019 The Authors. Health Expectations published by John Wiley & Sons Ltd.",
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Co-producing knowledge of lesbian, gay, bisexual, trans and intersex (LGBTI) healthcare inequalities via rapid-reviews of grey literature in 27 EU Member States. / Sherriff, Nigel; Zeeman, Laetitia; McGlynn, Nick; Pinto, Nuno; Hugendubel, Katrin; Mirandola, Massimo; Gios, Lorenzo; Davies, Ruth; Donisi, Valeria; Farinella, Francesco; Amaddeo, Francesco; Costongs, Caroline; Browne, Kath.

In: Health Expectations, 22.06.2019.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Co-producing knowledge of lesbian, gay, bisexual, trans and intersex (LGBTI) healthcare inequalities via rapid-reviews of grey literature in 27 EU Member States

AU - Sherriff, Nigel

AU - Zeeman, Laetitia

AU - McGlynn, Nick

AU - Pinto, Nuno

AU - Hugendubel, Katrin

AU - Mirandola, Massimo

AU - Gios, Lorenzo

AU - Davies, Ruth

AU - Donisi, Valeria

AU - Farinella, Francesco

AU - Amaddeo, Francesco

AU - Costongs, Caroline

AU - Browne, Kath

N1 - This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. © 2019 The Authors. Health Expectations published by John Wiley & Sons Ltd.

PY - 2019/6/22

Y1 - 2019/6/22

N2 - Background The health inequalities experienced by lesbian, gay, bisexual, trans and intersex (LGBTI) people are well documented with several reviews of global research summarising key inequalities. These reviews also show how the healthcare needs of LGBTI people are often poorly understood whilst suggesting that targeted initiatives to reduce inequalities should involve LGBTI people. Objectives To determine what is known about the healthcare inequalities faced by LGBTI people? What are the barriers faced by LGBTI people whilst accessing healthcare, and health professionals when providing care? What examples of promising practice exist? Design Rapid-reviews of grey literature were co-produced with LGBTI people in 27 countries followed by a thematic analysis and synthesis across all datasets. The review included grey literature from each country that might not otherwise be accessible due to language barriers. Main results Rapid-reviews showed that LGBTI people faced various inequalities and barriers whilst accessing healthcare. Where heterosexuality, binary gender and assumed male/female sex characteristics were upheld as the norm, and where LGBTI people differed from these norms, discrimination could result. In consultations where LGBTI people feared discrimination and did not disclose their LGBTI status, health professionals lacked the information required for appropriate assessments. Conclusion With greater understanding of sexual orientation (LGB people), gender identity (trans people) and sex characteristics (intersex people), combined with access to contemporary knowledge and training, health professionals can work in collaboration with researchers, policy makers and LGBTI people to develop systems that are better attuned to the needs of all service users.

AB - Background The health inequalities experienced by lesbian, gay, bisexual, trans and intersex (LGBTI) people are well documented with several reviews of global research summarising key inequalities. These reviews also show how the healthcare needs of LGBTI people are often poorly understood whilst suggesting that targeted initiatives to reduce inequalities should involve LGBTI people. Objectives To determine what is known about the healthcare inequalities faced by LGBTI people? What are the barriers faced by LGBTI people whilst accessing healthcare, and health professionals when providing care? What examples of promising practice exist? Design Rapid-reviews of grey literature were co-produced with LGBTI people in 27 countries followed by a thematic analysis and synthesis across all datasets. The review included grey literature from each country that might not otherwise be accessible due to language barriers. Main results Rapid-reviews showed that LGBTI people faced various inequalities and barriers whilst accessing healthcare. Where heterosexuality, binary gender and assumed male/female sex characteristics were upheld as the norm, and where LGBTI people differed from these norms, discrimination could result. In consultations where LGBTI people feared discrimination and did not disclose their LGBTI status, health professionals lacked the information required for appropriate assessments. Conclusion With greater understanding of sexual orientation (LGB people), gender identity (trans people) and sex characteristics (intersex people), combined with access to contemporary knowledge and training, health professionals can work in collaboration with researchers, policy makers and LGBTI people to develop systems that are better attuned to the needs of all service users.

KW - LGBTI

KW - public health

KW - healthcare

KW - inequalities

KW - co-production

KW - rapid-review

KW - Europe

KW - intersex

U2 - 10.1111/hex.12934

DO - 10.1111/hex.12934

M3 - Article

JO - Health Expectations

T2 - Health Expectations

JF - Health Expectations

SN - 1369-6513

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